| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $690.30 | $919.88 | $975.06 | |
Cigna
| Facility | $845.38 | $845.38 | $845.38 | |
Cigna
| Professional | $718.57 | $718.57 | $718.57 | |
United
| Professional | $65.62 | $114.12 | $243.67 |